Schwartz v. 4 Ever Life International Limited

District Court, D. Arizona·Decided June 29, 2021·No. 2:20-cv-02002·Unknown

Opinion

WO

Todd Schwartz, No. CV-20-02002-PHX-DJH

Plaintiff, ORDER

v.

4 Ever Life International Limited, et al.,

Defendants. Pending before the Court is Defendants 4 Ever Life International Limited, Blue Cross and Blue Shield Association, and Worldwide Insurance Services, LLC’s (collectively “Defendants”) Motion to Compel Arbitration. (Doc. 21). Plaintiff filed a Response (Doc. 24), and Defendants filed a Reply. (Doc. 25). The matter is fully briefed. The Court now issues its ruling. I. Background Plaintiff Todd Schwartz’s claims originate from a travel insurance policy his wife, Yoko Nishiguchi, applied for on June 26, 2018. (Doc. 24 at 2). After purchasing a policy online (the “Policy”), Mr. Schwartz suffered an injury overseas. (Doc. 11 at ¶ 11). He filed a claim and later appealed the denial of his claim. (Docs. 24 at 3; 25 at 3). Ultimately, he was denied coverage. He brings three claims against Defendants for breach of contract, bad faith, and aiding and abetting. (Doc. 11). On December 28, 2020, Defendants 4 Ever Life International Limited (“4 Ever Life”), Blue Cross and Blue Shield Association (“BCBS”), and Worldwide Insurance Services, LLC (“Worldwide”), sought to enforce the arbitration clause in the Policy by filing a Motion to Compel Arbitration. (Doc. 21). The parties now dispute whether the Policy’s arbitration clause is enforceable. (Docs. 21; 24; 25). When applying for the Policy online, Mrs. Nishiguchi began by reviewing the benefits and entering the required background and contact information. (Doc. 24 at 2). The website then navigated her to a section titled “Terms of Policy Issuance/Access Agreement.” (Doc. 24-2 at 6). In this section, applicants are required to acknowledge and consent to three agreements: Key Plan Provisions, Access Agreement, and Terms of Policy Issuance. (Id.) The Key Plan Provisions require the applicant to certify that the applicant has primary health insurance. (Id.) The Access Agreement sets out terms for use of the website. (Id. at 8). The Terms of Policy Issuance informs the participant who the policy is issued by and states that the quoted price includes a membership fee. (Id. at 6). The website required Nishiguchi to acknowledge and consent to the three agreements before she could “continue to payment.” (Id. at 7). None of the agreements contained an arbitration clause. (Doc. 24 at 2). Thus, Mrs. Nishiguchi was not required to read, acknowledge, or agree to an arbitration clause before proceeding to payment. (Id.) Elsewhere on the site, however, and accessible to Mr. Schwartz and Mrs. Nishiguchi, was a link: “Plan Description download.pdf.” (Doc. 24-3 at 2). The link leads to an “Individual Certificate of Coverage [that] describes the main features” of the Policy. (Id. at 4). The Policy names 4 Ever Life as the insurer. (Id. at 5). It names Worldwide as the administrator. (Id.) It also states that 4 Ever and Worldwide are independent licensees of BCBS. (Id.) The Policy’s description entails who is eligible for coverage, how the plan works, what the plan pays, and what the plan does not pay for. (Id. at 4). The last section, “General Provisions,” contains instructions on filing claims and appealing coverage decisions. (Id. at 23–24). Under “General Provisions” is a subsection titled “Grievances.” (Id. at 23). Under “Grievances” is a subsection titled “Dispute Resolution.” (Id. at 25). The third paragraph under this subsection has an arbitration clause. (Id.) It reads as follows: All grievances not resolved by the Insurer’s grievance procedures, and all other controversies and claims arising out of or relating to the Policy, or any coverage provided thereunder, shall be determined by final and binding arbitration administered by the American Arbitration Association (“AAA”) under its Commercial Arbitration Rules and Mediation Procedures (“Commercial Rules”) . . . The award rendered by the arbitrator shall be final, non-reviewable and non-appealable and binding on the parties and may be entered and enforced in any court having jurisdiction. There shall be one arbitrator agreed to by the parties within twenty (20) days of receipt by respondent of the request for arbitration or in default thereof appointed by the AAA in accordance with its Commercial Rules. The seat or place of arbitration shall be Philadelphia, Pennsylvania. (Id.) II. Legal Standard The Federal Arbitration Act (“FAA”), 9 U.S.C. § 2, states that arbitration agreements “shall be valid, irrevocable, and enforceable, save upon such grounds as exist at law or in equity for the revocation of any contract.” The savings clause of § 2 “permits agreements to arbitrate to be invalidated by generally applicable contract defenses, such as fraud, duress, or unconscionability.” AT&T Mobility LLC v. Concepcion, 563 U.S. 333, 339 (2011) (quoting Doctor’s Assocs., Inc. v. Casarotto, 517 U.S. 681, 687 (1996)) (internal quotation marks omitted). The Supreme Court interprets § 2 as a “congressional declaration of a liberal federal policy favoring arbitration agreements, notwithstanding any state substantive or procedural policies to the contrary.” Moses H. Cone Mem’l Hosp. v. Mercury Constr. Corp., 460 U.S. 1, 24 (1983). The FAA “leaves no place for the exercise of discretion by a district court, but instead mandates that district courts shall direct the parties to proceed to arbitration on issues as to which an arbitration agreement has been signed.” Chiron Corp. v. Ortho Diagnostic Sys., Inc., 207 F.3d 1126, 1130 (9th Cir. 2000) (quoting Dean Witter Reynolds Inc. v. Byrd, 470 U.S. 213, 218 (1985)). “The court’s role under the [FAA] is therefore limited to determining (1) whether a valid agreement to arbitrate exists and, if it does, (2) whether the agreement encompasses the dispute at issue.” Chiron Corp., 207 F.3d at 1130. If both questions yield positive answers, then the FAA “requires the court to enforce the arbitration agreement in accordance with its terms.” Id. Accordingly, the Court will begin by evaluating whether the Policy contained a valid arbitration clause. III. Validity of Arbitration Clause Mr. Schwartz brings three arguments challenging the validity of the arbitration clause. (Doc. 24). First, he argues he did not agree to arbitration. (Doc. 24 at 9). Second, he claims that the arbitration clause is both procedurally and substantively unconscionable. (Doc. 24 at 12). Third, Mr. Schwartz claims the reasonable expectations doctrine voids the Policy’s arbitration clause. (Id.) a. Mutual Assent “Arizona law applies to whether a valid arbitration agreement exists.” Shelby v. Brookdale Senior Living Inc., 2021 WL 718183, at *1 (D. Ariz. Feb. 24, 2021) (citing Shivkov v. Artex Risk Sols., Inc., 974 F.3d 1051, 1058–59 (9th Cir. 2020)). A contract must “manifest mutual assent, i.e., the parties’ intent to be bound.” Valdiviezo v. Phelps Dodge Hidalgo Smelter, Inc., 995 F. Supp. 1060, 1064 (D. Ariz. 1997) (citing Keith Equip. Co. v. Casa Grande Cotton Fin., Co., 928 P.2d 683, 685 (Ariz. Ct. App. 1996)). This analysis focuses on objective evidence, not the parties’ hidden intent. Silva v. Butori Corp., 2020 WL 2308528, at *4 (D. Ariz. May 8, 2020). “Objective evidence includes written and spoken words as well as acts.” Johnson v. Earnhardt’s Gilbert Dodge, Inc.,

Schwartz v. 4 Ever Life International Limited, (D. Ariz. 2021).

Schwartz v. 4 Ever Life International Limited (Schwartz v. 4 Ever Life International Limited) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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